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Performing a urine dipstick test with a clean-catch urine sample is an accurate screening method for urinary tract infections in young infants

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dc.contributor.author Herreros Fernández, María Luisa
dc.contributor.author Tagarro García, Alfredo
dc.contributor.author García Pose, Araceli
dc.contributor.author Sánchez, Aida
dc.contributor.author Cañete Díaz, Alfonso
dc.contributor.author Gili Manzanaro, Pablo
dc.date.accessioned 2018-04-06T12:18:40Z
dc.date.available 2018-04-06T12:18:40Z
dc.date.issued 2018
dc.identifier.citation Herreros, M. L., Tagarro, A., García‐Pose, A., Sánchez, A., Cañete, A., & Gili, P. (2018). Performing a urine dipstick test with a clean‐catch urine sample is an accurate screening method for urinary tract infections in young infants. Acta Paediatrica, 107(1), 145-150. DOI: 10.1111/apa.14090 spa
dc.identifier.issn 0803-5253
dc.identifier.issn 1651-2227
dc.identifier.uri http://hdl.handle.net/11268/7193
dc.description.abstract AIM: This study evaluated using urine dipstick tests with the clean-catch method to screen for urinary tract infection (UTI) in febrile infants under 90 days of age. METHODS: We carried out a comparative diagnostic accuracy study of infants under 90 days old, who were studied for unexplained fever without any source, in the emergency room of a hospital in Madrid from January 2011 to January 2013. We obtained matched samples of urine using two different methods: a clean-catch, standardised stimulation technique and catheterisation collection. The results of the leucocyte esterase test and nitrite test were compared with their urine cultures. RESULTS: We obtained 60 pairs of matched samples. A combined analysis of leukocyte esterase and, or, nitrites yielded a sensitivity of 86% and a specificity of 80% for the diagnosis of UTIs in clean-catch samples. The sensitivity of leukocyte esterase and, or, nitrites in samples obtained by catheterisation were not statistically different to the clean-catch samples (p = 0.592). CONCLUSION: Performing urine dipstick tests using urine samples obtained by the clean-catch method was an accurate screening test for diagnosing UTIs in febrile infants of less than 90 days old. This provided a good alternative to bladder catheterisation when screening for UTIs. spa
dc.description.sponsorship Sin financiación spa
dc.language.iso eng spa
dc.title Performing a urine dipstick test with a clean-catch urine sample is an accurate screening method for urinary tract infections in young infants spa
dc.type article spa
dc.description.impact 2.265 JCR (2018) Q2, 43/125 Pediatrics spa
dc.description.impact 1.031 SJR (2018) Q1, 51/318 Pediatrics, Perinatology and Child Health, 528/2844 Medicine (miscellaneous) spa
dc.description.impact No data IDR 2018 spa
dc.identifier.doi 10.1111/apa.14090
dc.rights.accessRights closedAccess spa
dc.subject.uem Aparato urinario spa
dc.subject.uem Lactantes spa
dc.subject.uem Orina spa
dc.subject.unesco Medicina preventiva spa
dc.subject.unesco Primera infancia spa
dc.description.filiation UEM spa
dc.peerreviewed Si spa


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